TK-6th Notice of Planned Absence
Once this form is submitted and reviewed by the office, you will be notified whether or not this absence will be excused.
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Student' last name *
Student's first name
 *
Student's grade
 *
Student's teacher *
My child will be absent from class *
Please fill in the corresponding "All Day" or "Partial Day" dates and times below.
First Full Day of Absence:
MM
/
DD
/
YYYY
Last Full Day of Absence
MM
/
DD
/
YYYY
Partial Day - Date of Partial Absence:
MM
/
DD
/
YYYY
Partial Day - Leaving at:
時間
:
Partial Day - Returning at:
時間
:
Purpose of Absence: *
If "Other" please explain.
Additional Comments:
Please leave any other comments, explanations, or concerns here.
Parent/Guardian Signature: *
Parent's email address
 *
Please Note:
If this absence is excused, for middle and high school students: projects, papers, and other classwork assigned more than a week in advance of this absence are expected to be submitted on time (electronically) if due during the leave. Students should discuss their absence with their teacher PRIOR to missing class and make arrangements to complete all missed assignments.

If this absence will exceed the permitted number of planned absences and is unexcused, students will be required to make up all missed assignments including tests at the teacher’s convenience. Work missed due to an unexcused absence may result in a reduction in grade for all work completed and turned in as scheduled.  
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